Active NPI
Nicholas Van Cott Johnson, MD
- Anesthesiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 300270
- Practice address
- 550 1St Ave
NYU Langone Medical Center
New York, NY 10016-6402 - Phone
- (212) 263-5506
- NPI assigned
- Mar 30, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 300270 | NY | Primary |
| Anesthesiology Physician | 207L00000X | 1021784 | MA |
Addresses
Primary practice location
550 1St Ave
NYU Langone Medical Center
New York, NY 10016-6402
Mailing address
550 1St Ave
NYU Langone Medical Center
New York, NY 10016-6402
Phone (212) 263-5506
Other practice location 1
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-3271
Other practice location 2
119 Belmont St
Worcester, MA 01605-2903
Phone (508) 334-8287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110219787A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Albany Medical College of Union University, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6238
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
- Umass Memorial Medical Center/University Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300270 | NY | MD | Licensed Practical Nurse |
| 1021784 | MA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| New York University | Anesthesiology | Current | Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Bronx Anesthesia Services, PC | Anesthesiology | Current | Accepting new patients |
| Grove City Anesthesia & Pain Management, PLLC | Anesthesiology | Current | Accepting new patients |
| New York University | Anesthesiology | Current | Accepting new patients |
| New York University | Current | Accepting new patients |
Locations
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
530 1st Ave
New York, NY 10016
Phone (212) 263-7216
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1225330103
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Anesthesiology
-
- Anesthesiology Physician
- Roaring Spring, PA
- NPI 1528371556
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Anesthesiology Physician
- Boynton Beach, FL
- NPI 1952392946
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1003279811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 1ST AVE",
"address_2": "NYU LANGONE MEDICAL CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "212-263-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 1ST AVE",
"address_2": "NYU LANGONE MEDICAL CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "212-263-5506"
}
],
"practiceLocations": [
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-334-3271",
"fax_number": "508-856-5911",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "119 Belmont St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016052903",
"country_code": "US",
"telephone_number": "508-334-8287",
"fax_number": "508-334-8204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "NICHOLAS",
"middle_name": "VAN COTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-30",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "300270",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "1021784",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110219787A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.